Cso Exam With Correct Answer
ASPEN recs for ENCORRECT ANSWERS✔✔-No benefit from routine use
-peri-op = mod/severe MN use for 7-14 d prior
*weigh risk of delaying surgery to do so*
Most common use of EN in what cancers?CORRECT ANSWERS✔✔HN
Gastric
Esophageal
Pancreatic
For adequate GI absorption you need how many cm of both jejunum and ileum? also
need what valve?CORRECT ANSWERS✔✔100 cm jej
150 cm ileo
ileoceceal valce
Renal EN products provide ____ to ___ % of kcal from protein?CORRECT ANSWERS
✔✔7-18% of kcal from pro
Pulmonary products provide what special nutrition considerations?CORRECT
ANSWERS✔✔nutrient dense (~1.5 kcal)
low CHO
high lipid -- EPA, GLA; Pro = 16-18%
Possible causes of hypernatremia?CORRECT ANSWERS✔✔inadequate FW ---->
change FW to fix
Excess fluid losses (diurese) ---> monitor fluid status, I/O, daily wts
Possible causes of hyponatremia?CORRECT ANSWERS✔✔Fluid overload ---> restrict
FW
Sodium Losses in GI ----> supp Na
SIADH ---> restrict FW, diuresis
Possible causes of hyperphosphatemia?CORRECT ANSWERS✔✔Kidney
insufficiency --> consider change to low phos formula vs binders
Tumor lysis syndrome --> consider change to low phos vs binders
Phosphate binding antacids --> rec change in meds
Possible causes of hypophosphatemia?CORRECT ANSWERS✔✔Refeeding
Insulin therapy
, Phosphate binding antacids
Maximum daily tolerance of Dextrose w/ TPN?CORRECT ANSWERS✔✔7
grams/kg/day OR 5 mg/kg/min
Maximum daily tolerance of AA w/ TPN?CORRECT ANSWERS✔✔2.5 g/kg
Maximum daily tolerance of Lipids w/ TPN?CORRECT ANSWERS✔✔2.5 g/kg/day or
60% of total kcal
Na and K std replacement/day?CORRECT ANSWERS✔✔1-2 mEq/kgq
What two allergies do you need to be mindful of when hanging IVFE?CORRECT
ANSWERS✔✔Soy
Egg
If TG are over what mg/dL is it rec that you hold VS d/c IVFE?CORRECT ANSWERS✔
✔TG > 400 mg/dL
How many kcal/kg if refeeding risk?CORRECT ANSWERS✔✔15 kcal/kg
Use of what additive is controversial with HCT?CORRECT ANSWERS✔✔glutamine --
may be beneficial
Generally additives are adequate to meet needs aside from what exception?CORRECT
ANSWERS✔✔Vitamin D
Some MTE's don't contain what additive and can be issue with long term TPN
use?CORRECT ANSWERS✔✔Selenium
(and iron -- not compatible)
What potential toxicities are r/t to TPN?CORRECT ANSWERS✔✔manganese
Chromium
aluminum
hypertriglyceridemia
What are potential deficiencies w/ TPN use?CORRECT ANSWERS✔✔EFA
Fe
Selenium
Zinc w/ excessive GI losses
Mg
Ca
Vit D
carnitine
ASPEN recs for ENCORRECT ANSWERS✔✔-No benefit from routine use
-peri-op = mod/severe MN use for 7-14 d prior
*weigh risk of delaying surgery to do so*
Most common use of EN in what cancers?CORRECT ANSWERS✔✔HN
Gastric
Esophageal
Pancreatic
For adequate GI absorption you need how many cm of both jejunum and ileum? also
need what valve?CORRECT ANSWERS✔✔100 cm jej
150 cm ileo
ileoceceal valce
Renal EN products provide ____ to ___ % of kcal from protein?CORRECT ANSWERS
✔✔7-18% of kcal from pro
Pulmonary products provide what special nutrition considerations?CORRECT
ANSWERS✔✔nutrient dense (~1.5 kcal)
low CHO
high lipid -- EPA, GLA; Pro = 16-18%
Possible causes of hypernatremia?CORRECT ANSWERS✔✔inadequate FW ---->
change FW to fix
Excess fluid losses (diurese) ---> monitor fluid status, I/O, daily wts
Possible causes of hyponatremia?CORRECT ANSWERS✔✔Fluid overload ---> restrict
FW
Sodium Losses in GI ----> supp Na
SIADH ---> restrict FW, diuresis
Possible causes of hyperphosphatemia?CORRECT ANSWERS✔✔Kidney
insufficiency --> consider change to low phos formula vs binders
Tumor lysis syndrome --> consider change to low phos vs binders
Phosphate binding antacids --> rec change in meds
Possible causes of hypophosphatemia?CORRECT ANSWERS✔✔Refeeding
Insulin therapy
, Phosphate binding antacids
Maximum daily tolerance of Dextrose w/ TPN?CORRECT ANSWERS✔✔7
grams/kg/day OR 5 mg/kg/min
Maximum daily tolerance of AA w/ TPN?CORRECT ANSWERS✔✔2.5 g/kg
Maximum daily tolerance of Lipids w/ TPN?CORRECT ANSWERS✔✔2.5 g/kg/day or
60% of total kcal
Na and K std replacement/day?CORRECT ANSWERS✔✔1-2 mEq/kgq
What two allergies do you need to be mindful of when hanging IVFE?CORRECT
ANSWERS✔✔Soy
Egg
If TG are over what mg/dL is it rec that you hold VS d/c IVFE?CORRECT ANSWERS✔
✔TG > 400 mg/dL
How many kcal/kg if refeeding risk?CORRECT ANSWERS✔✔15 kcal/kg
Use of what additive is controversial with HCT?CORRECT ANSWERS✔✔glutamine --
may be beneficial
Generally additives are adequate to meet needs aside from what exception?CORRECT
ANSWERS✔✔Vitamin D
Some MTE's don't contain what additive and can be issue with long term TPN
use?CORRECT ANSWERS✔✔Selenium
(and iron -- not compatible)
What potential toxicities are r/t to TPN?CORRECT ANSWERS✔✔manganese
Chromium
aluminum
hypertriglyceridemia
What are potential deficiencies w/ TPN use?CORRECT ANSWERS✔✔EFA
Fe
Selenium
Zinc w/ excessive GI losses
Mg
Ca
Vit D
carnitine
